LOCAL NMI COUNCIL
Church
*
Church Year
*
Upon submitting this form will be sent to your NMI District President.
Please fill out all information you can provide.
Rows
Name
Address
City
St/Pr
Zip
E-Mail Address
Phone
President
Vice President
Secretary
Treasurer
Please verify that all information is accurate.
Name:
*
Local NMI president or NMI secretary
*
Local NMI president or
NMI secretary
02/2018
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